Transcript SOCIAL AND HEALTH SERVICES FOR UNDERAGE, YOUNG …

SOCIAL AND HEALTH SERVICES FOR
UNDERAGE, YOUNG AND ADOLESCENT
PEOPLE IN OUR LOCAL HEALTH SERVICE
DOTT. GIOVANNA
PICCIOTTI
Local Health Service no.12
Chief Executive
San Benedetto del Tronto
Two are the local Health Services for infancy:
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Paediatricians
Family Advice Bureau
Besides, two more services are provided for specific needs: Infant
Neuropsychiatry Service and a Multidisciplinary Unit for disables in
the age of development.
The Family Advice Bureau was established by law no.405 in 1975 as
“motherhood and family aid”. So it was established before our National
Health Service (law no. 883 in 1978, with which a health service is
guaranteed to all Italian citizens, a part from their incomes).
In this law n.883, Local Health Services were defined as structures for
first level and first aid interventions.
The National Health Service, 1994-96,
stated the Equal Level Aids to be guaranteed
to all citizens:
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-life and work health service
-contagious diseases prophylaxis
-environmental pollution health risk prevention
-life and work health risk prevention
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-general and paediatric medicine
-pharmaceutical aid
-disables and elderly people’s home aid
-territory specialists
-diagnostic, instrumental and laboratory diagnosis and family advice bureau
-drug addiction service
-psychiatry aid
-rehabilitation prosthesis and spa aid
-integrative aids: dietetic products, medicines
-integrative aids: dietetic products, medicines
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-hospital services
-emergency admission
-day hospital and ordinary admissions
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-residential health aid
-non self-sufficient and long-term patients aid
-psychiatry aids for elderly people, drug addicts, psycho
disables in special structures
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and physic
-general health service supporting activities
-general services
-management
In our National Health Service Policy 1998/2000 a new role for the local health
service is established. It is:
•coordination and integration of all the outside health services
•centre for all kinds of health problems
THE LOCAL HEALTH SERVICE IS THE
POINT OF REFERENCE FOR:
• Elderly people health aid
• Motherhood and infancy aid and
protection
• Drug addiction prevention, treatment
and rehabilitation
PAEDIATRICS
Every Italian citizen has the right to a general
health service that consists of a general
medicine doctor for people elder than 14 and
paediatrics for children under 14.
Having a paediatric is compulsory for
underage between 0 and 6 years of age,
whilst children between 7 and 14 can have a
general medicine doctor.
FAMILY ADVICE BUREAU
The function of a family advice bureau are:
Female health protection: prevention of sexual passed diseases,
psycho-social discomfort, puberty, menopause, female tumour premature
diagnosis, abortion.
Reproduction protection: contraception, infertility, sterility,
preconception, training to delivery and birth, pregnancy, puerperium.
Infancy and adolescent protection: psycho –physic and social
development control, premature diagnosis of congenital diseases,
anomalies and disabling diseases, psycho -social discomfort, early
obesity.
Sexuality: information and education on sexual diseases, sexual abuse
inside and outside families
Couples and family relationships
Parental duties on children, underage care and education
New spaces for pre –adolescence, adolescence, young individuals
and couples, immigrants
• Young advice bureau: meeting point, information and advice, also in
schools, on adolescent problems connected with sexuality,
adolescent discomfort and food-related diseases.
• Food education projects to prevent and cure food problems in young
people.
Other sectors have been developed:
Underage project law 285 1997. Program agreements with the local municipalities
involving local health service and local education superintendence have been
established.
Services for adolescents
The local health services for adolescents, a part from
the family advice bureau, are Drug addiction service
(Ser.t) and Underage Disables’ Rehabilitation service
(UMEE).
A prevention and aid net for adolescents is being
organized for:
•Food diseases- anorexia and bulimia
•Alcohol, nicotine, drug abuse
•Doping in sports
Professional workers
The professional workers in the family
advice bureau are:
Gynaecologists, psychologists, pedagogues,
social assistants, paediatrics, obstetricians,
sociologists.
These activities are developed through easy
interventions and “offer packages” to solve
the target’s needs and questions.
In the same place the following are ensured:
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B.
C.
D.
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F.
Information, health education, social promotion
Gynaecological and obstetrician aid
Paediatric aid to promote the psycho-physic and
social children education
Obstetric, gynaecological and paediatric diagnosis
and treatment with the help of the hospital
structures
UMEE, UMEA, Local Health Service of our district
to make interventions on people’s aid, overall
pregnant women, women with children, underage
people, when one of the member of the family has
psychological, psychiatric, medical, drug addiction
problems
Coordination between territory ambit and
municipalities to integrate socio- health aids
A Team for international adoption, family trust and
integrated underage service has also been created.
• Working groups are programmed to support
parents, basic prevention, workers training,
motherhood and children protection,
premature psychological diagnosis and
treatment for children and adolescents.
• These activities are organized in projects,
together with individual performances for
specific age and problem targets.